Liver Cancer: Causes, Symptoms, and Management
Liver cancer, also known as hepatocellular carcinoma, originates in mature liver cells and is influenced by various risk factors such as age, gender, cirrhosis, hepatitis, and lifestyle choices like smoking and alcohol consumption. Common signs and symptoms include unexplained weight loss, abdominal pain, jaundice, and fatigue. Diagnostic evaluation involves history collection, physical examination, imaging scans, and sometimes laparoscopy. Treatment options include radiation therapy, chemotherapy, surgical interventions like liver transplantation and tumor ablation, with a focus on nursing management for holistic patient care.
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Presentation Transcript
LIVER CANCER HEPATIC CANCER (HEPATOMA)
DEFINITION A MALIGNANT TUMOR OF LIVER ORIGINATING IN MATURE LIVER CELLS.
RISK FACTORS AGE GENDER CIRRHOSIS OF LIVER HEPATITIS B & C CIGARETTE SMOKING CHEMICAL TOXINS ALCOHOLISM ENVIRONMENTAL FACTORS
CAUSES HEPATITIS B HEPATITIS C CIRRHOSIS DRUG USE ALCOHOL SMOKING DIABETES
SIGNS AND SYMPTOMS UNEXPLAINED WEIGHT LOSS LOSS OF APPETITE NAUSEA VOMITING YELLOW SKIN OR EYES RIGHT UPPAR QUADRANT ABDOMINAL PAIN A RIGHT UPPER QUADRANT MASS ABDOMINAL DISTENSION WITH ASCITES FATIGUE MALAISE UNEXPLAINED FEVER JAUNDICE
DIAGNOSTIC EVALUATION HISTORY COLLECTION PHYSICAL EXAMINATION CT SCAN MRI PET USG LAPROSCOPY(SURGICAL PROCEDURE TO ASSESS INSIDE THE ABDOMEN AND PELVIS WITHOUT MAKING LARGE INCISION)
SURVIVAL RATE OF LIVER CANCER STAGE I TO III :- 5 YR SURVIVAL RATE IS 50 %. STAGE IV :- 5 YR SURVIVAL RATE IS 10 %.
COMPLICATION MALNUTRITION BILIARY OBSTRUCTION (JAUNDICE) SEPSIS (SEPTICEMIA) LIVER ABSCESS ( PUS COLLECTION)
MANAGEMENT RADIATION THERAPY CHEMOTHERAPY
SURGICAL MANAGEMENT LIVER TRANSPLANTATION TUMORABLATION (DESTROY THE CANCER CELLS.) PARTIAL HEPATECTOMY ( REMOVAL OF THE PART OF THE LIVER.)
NURSING MANAGEMENT BED REST WITH CONTROLLED ACTIVITY. PREVENTS CLOTS. PROVIDE SKIN CARE. PROMOTING HOME AND COMMUNITY BASED CARE. PROVIDE PSYCHOLOGICAL SUPPORT TO THE PATIENTS. PROVIDE PRE AND POST OPERTAIVE CARE . ADVISE TO PATIENT TO AVOID SMOKING AND ALCOHOL.
NURSING DIAGNOSIS ACUTE OR CHRONIC PAIN RELATED TO GROWTH OF TUMOR AS EVIDENCED BY FACIAL EXPRESSION. EXCESSIVE FLUID VOLUME RELATED TO ASCITES AND EDEMA AS EVIDENCED BY REDNESS. IMBALANCED NUTRITIONAL STATUS LESS THAN BODY REQUIREMENT RELATED TO ANOREXIA AS EVIDENCED BY WT LOSS. ANXIETY RELATED TO ENLARGEMENT OF THE ABDOMEN AS EVIDENCED BY SLEEP DISTURBANCE. ACTIVITY INTOLERANCE RELATED TO FATIGUE AS EVIDENCED BY FACIAL EXPRESSION OR NOT DOING DAILY ACTIVITY.
CONT INEFFECTIVE BREATHING PATTERN RELATED TO DECREASE IN LUNG EXPANSION AS EVIDENCED BY SHORTNESS OF BREATH. DISTURBED BODY IMAGE RELATED TO ALTERED PHYSICAL APPEARANCE AS EVIDENCED BY ANXIETY, FEAR, IRRITABILITY AND NEGATIVE FEELING ABOUT THE BODY. JAUNDICE RELATED TO BILIARY OBSTRUCTION AS EVIDENCED BY YELLOW SKIN OR EYES.
